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Home My WebLink AboutPermit EL09-0357 - HIGH FIVE SPORTSHIGH FIVE SP RTS 18200 SEGALE PARK DR B ELO9-0357 Cityf Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us Parcel No.: 3523049119 Address: 18200 SEGALE PARK DR B TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL09 -0357 Issue Date: 06/09/2009 Permit Expires On: 12/06/2009 Tenant: Name: HIGH FIVE SPORTS Address: 18200 SEGALE PARK DR B , TUKWILA WA Owner: Name: LA PIANTA LLC Phone: Address: PO BOX 88028 , TUKWILA WA Contact Person: Name: ADAM JETT Phone: 253 - 620 -5910 Address: 10029 S TACOMA WY H -7 , LAKEWOOD WA Contractor: Name: ADT SECURITY SERVICES INC Phone: 425 - 893 -3668 Address: 11824 NORTH CREEK PY N #105 , BOTHELL WA Contractor License No: ADTSESI032O5 Expiration Date: 09/25/2009 DESCRIPTION OF WORK: ADD TO EXISTING SECURITY ALARM SYSTEM Value of Electrical: NRES: $320.00 Fees Collected: $64.00 RES: $0.00 Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2005 Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Date: I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction oj-t e perfo ce of work. I am authorized to sign and obtain this electrical permit. Signature: Print Name: This permit shall d void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned for . •eriod • 80 days from the last inspection. doc: EL -4/07 EL09 -0357 Printed: 06 -09 -2009 Parcel No.: 3523049119 Address: Suite No: Tenant: • • City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us 18200 SEGALE PARK DR B TUKW HIGH FIVE SPORTS PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL09 -0357 ISSUED 06/09/2009 06/09/2009 1: ** *ELECTRICAL * ** 2: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector at each work site. 3: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector. 4: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter 296 -46B WAC. 5: When any portion of the electrical installation is to be hidden from view by permanent placement of parts of the building, such equipment shall not be concealed until it has been inspected and approved by the Electrical Inspector. 6: The issuance of an electrical work permit shall not be construed to be a permit for, or an approval of, any violation of the provisions of the electrical code or other ordinances of the jurisdiction. Permits or related documentation that presumes to grant this authority are therefore not valid. 7: Any change in the scope of work described by the electrical work permit shall require additional work permits. Where approved plans have been issued, revisions to the plans and additional review may be required. I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provision of any other work or local laws regulating construction or the performance of work. Signature: Print Name: doc: Cond -Elec EL09 -0357 Printed: 06 -09 -2009 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://Wwvv.ci.tukwila.wa.us Electrical Permit No. -ELO q 7 Project No. (For office use only) ELECTRICAL PERMIT APPLICATION Applications and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or by fax. * *Please Print ** SITE LOCATION C / King Co Assessor's Tax No.: 3 S 2304 " \ 1 Site Address: 1 Is 20 O J � e, Po`{ �t Vf . g Suite Number: eg. Floor: Tenant Name: t-.0\% SeOi TS Property Owners Name P ► k LL C Mailing Address: New Tenant: ❑ Yes t< No Bow (g$a �, 1 t ► ek__- l,,.l P1/4 CIN 1 State Zip City CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: A4OV(Y \ Mailing Address: 10C17—c1 14 E -Mail Address: ArY \e.} ft . 0.. . Co ry Day Telephone: 2.J3` (1 20 " ill0 -!1 Lokke aod. '4P '1%491 City State Zip Fax Number: ELECTRICAL CONTRACTOR INFORMATION Company Name: A stew* Mailing Address: 11 I V4 . C{(.k- Contact Person: Ad4A.YY1 `T2rVk So 1eAk %. Pt °1 %01 E -Mail Address: 04113. Contractor Registration Number: AtTS�T Q . .OS Valuation of Project (contractor's bid price): $ .32-0 Scope of Work (please provide detailed information): S City State Zip Day Telephone: 253 - (02.O — 6910 Fax Number: Expiration Date: Ci AS /O °t Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No Type of Use: Type of work: ❑ New ,Addition ❑ Service Change XLow Voltage ❑ Generator ❑ Fire Alarm Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H:\Applicaiions\Forms- Applications On Line\4 -2007 • Electrical Permit Application.doc bh ❑ Remodel ❑ Telecommunication ❑ Tenant Improvement ❑ Temporary Service Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $140.00 (including an attached garage) ❑ Garages, pools, spas and outbuildings $75.00 ea ❑ Low voltage systems (alarm, furnace thermostat) $55.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $75.00 (no added/altered circuits) ❑ Service change with added/altered circuits $75.00 number of added circuits $10.00 ea ❑ Circuits added/altered without service change $50.00 (up to 5 circuits) ❑ Circuits added/altered without service change $50.00 (6 or more circuits) $7.00 ea ❑ Meter /mast repair $65.00 ❑ Low voltage systems $55.00 (alarm, furnace thermostat) MULTI - FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $58.00 ❑ Temporary service (generator) $75.00 ❑ Manufactured/mobile home service $80.00 (excluding garage or outbuilding) ❑ Carnivals $75.00 Number of concessions $10.00 ea PERMIT APPLICATION NOTES - Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing and justifiable cause demonstrated. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: . . • Print Name: _•_ : _ ataw■ .__ ' _ lu► Day Telephone: 2-63— (O 0 — 64110 Mailing Address: 1 CO q S . �w+l',.pt/NVa... �� 'N L- ��I00�- W °1 %011 City stale Zip Date: Date Application Accepted: I Date Application Expires: Staff Initials: H: Wpplications\Forms- Applications On Line \4 -2007 - Electrical Permit Application.doc bh Page 2 of 2 • City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 -431 -3665 Web site: http: / /www.ci.tulnvila.wa.us RECEIPT Parcel No.: 3523049119 Permit Number: EL09 -0357 Address: 18200 SEGALE PARK DR B TUKW Status: PENDING Suite No: Applied Date: 06/09/2009 Applicant: HIGH FIVE SPORTS Issue Date: Receipt No.: R09 -00851 Initials: User ID: Payee: WER 1655 Payment Amount: $64.00 Payment Date: 06/09/2009 11:47 AM Balance: $0.00 ADAM JETT TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA - Authorization No. 058952 ACCOUNT ITEM LIST: Description 64.00 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 64.00 Total: $64.00 PYMENT RECEIVED doc: Receiot -06 Printed: 06 -09 -2009 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit fuff 0357 PERMIT NO. (206)431 -3670 Project: 1 ( it tbkg de 5PDR- Type of Inspection: Sao Addre 1714° .cIt Plc. De .3 Date Called: Special Instructions: Date Wanted: � a. m. p. Requester: Phone No: Approved per applicable codes. El Corrections required prior to approval. igq COMMENTS: 40y1 Inspector �r Date: 06 /Li 107 1-1$60.00 REI SPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: Untitled Page • Page 1 of 4 Electrical Contractor A business licensed by LEtI to contract electrical work within the scope of its specialty. Electrical Contractors must maintain a surety bond or assignment of savings account. They also must have a designated Electrical Administrator or Master Electrician who is a member of the firm or a full -time supervisory employee. Business and Licensing Information Name ADT SECURITY SERVICES INC UBI No. 601636830 Phone 4254023356 Status ACTIVE Address 11824 NORTH CREEK PKWY N License No. ADTSE5103205 #105 Suite /Apt. City State Zip County BOTHELL WA 98011 KING Business Type Corporation Parent Company License Type ELECTRICAL CONTRACTOR Effective Date 9/25/1997 Expiration 9/25/2009 Date Suspend Date Specialty 1 LIMITED ENERGY Specialty 2 HVAC /RFRG LTD ENERGY Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status ADTSES *115B5 ADT SECURITY SYSTEMS ELECTRICAL CONTRACTOR LIMITED ENERGY UNUSED 1/25/1989 1 /25/1999 ARCHIVED AMERIDT283LZ AMERICAN DISTRICT TELEGRAPH CO ELECTRICAL CONTRACTOR LIMITED ENERGY UNUSED 6/9/1972 1/31/1990 ARCHIVED MASTER ELECTRICIAN INFORMATION License BEARDGE963LS Name BEARD, GERALD E Status ACTIVE https://fortress.wa.gov/lni/bbip/Detail.aspx 06/09/2009